Mini-Grant Application

1. Application Type

 

2. Contact Information

    Your Organization

  • Fiscal Sponsor (if applicable)

 

3. Brief Summary

 

4. Indigenous Leadership

 

5. History

 

6. Project Description

 

7. Organizational Budget and Portion of Total Budget Dedicated to Mining work:

 

8. Project Budget

  • Budget Item, Request to IEN/WMAN, Additional in-kind & other funding, Total
    1. Consultant, $250, Donating 10 hours, $250 + 10hrs in-kind
    2. Travel, $500, Donated car use, $500 + donated car use
    3. Supplies, $750, Donated paint, $750 + donated paint
    4. Lodging/meals, $1,000, $1,000 donated from Tribe X, $2,000
 

9. Other Funding Source

 

10. Issue Collaborations

 

11. Additional Information

 

12. Previous Mining Mini-Grants Funding

 

13. References

  • Contact 1

  • Contact 2

 

14. For $5,000 Grant Application Only

 

Verification